15-100541 *Aiding - Single Family
Ci of Federal Way yA �� Permit #: 15-100541 -00-SF
Community&Econ.Dev.Services ^� r 5...
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: BELMOR PARK SPACE 213
Project Address: 2101 S 324TH ST Space 213 Parcel Number: 162104 9037
Project Description: NEW-Installation of 1584 square foot manufactured home within a manufactured home
park
Owner Applicant Contractor Lender
BELMOR HOLDINGS LTD AMERICAN HOME CENTER AMERICAN HOME CENTER
1571 BELLEVUE AVE W SUITE 21( 16311 MERIDIAN E AMERIHC978OC(9/3/15)
VANCOUVER BC PUYALLUP WA 98375 16311 MERIDIAN E
CAN PUYALLUP WA 98375
Census Category: 112 -New Manufactured/Factory-Built Home,IN PARK
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 900 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1 -Area(Sq.Feet) 900
New/Additional Sq.Feet-Basement 0 New/Additional Sq.Feet-Deck 0
New/Additional Sq.Feet-Garage 0 Occupancy#1 -Class R-3
New/Additional Sq.Feet-Other 1584 New/Additional Sq.Feet-Total 1584
Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit !!
CONDITIONS:
Installation shall be in strict accordance with the manufacturer's installation instructions or professionally
engineered installation design,which shall remain on-site as required by Washington State law.
elm Tv v A kt c !r
PERMIT EXPIRES Wednesday, August 26, 2015
Permit Issued on Friday, February 27, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or gen ` _ Date: J` 7/ /)
• THIS CARD IS TO .MAIN ON-SITE
Construction In ction Record
Federal OF Tr Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-100541-00-SF Address: 2101 S 324TH ST Space 213
Project: BELMOR HOLDINGS LTD FEDERAL WAY, WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0 SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Interim Erosion Control(4370)
Approved To be done prior to breaking ground Approved
By Date By Date By Date
'
'
0 Blocking/Tie Downs(4015) 0 Final Erosion Control(4375) ❑ Skirting/Final(4250)
Approved Approved Approved
By 1-A. Date I ; . i ; By Date By Date 11 11115
® Rough ElectricalIII Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
. I
I.
PERMIT
t :RECE
reaeEat . fay
FEB 0 4 2015
CrNIAIQA4glIALWN5 I a o 4 ( 0705-As
._
TARGET IFTE. CDS — — —
SITE ADDRESS 51..LlrYt,3 IL /l c,41,Com= 116%4,4. A4,2/�
surrE/UNIT#
t 2 'R S i 1- 04? l,c/A $/ c''' ,,Z/.3
PROJECT VALUATION ZONING AS-n.SSOR'S TAX/PARCEL C
$
TYPE OF PERMIT 0 BUILDING ;❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 6 0)4_ ma t '
PROJECT DESCRIPTION Ii'Al r� ,�a e' ' ku i,,a ,-6 ij _. --7,---
Detailed description of work to 0/� -S ,V G./� 2J 3 i S-1-r
be included on this permit only
NAME _, / PRIMARY PEOjN
PROPERTY OWNER 114/- 7-1-/L13 t'ldp O'Cb7 /%61,2c_-7-- 4 /'� 26-3 -O 7 ' 0-.r/7
MAILING
5 A 4) 10 6.z_J� �MPIL
rrj I' STATE M.
NAME PHONE
414/S/2 i C19 Al) .t-iQ,^fJX 04.patf 2 c 3- ci.r/- .3600
MAILING ADDRESS E-MAIL
CONTRACTOR 16,3/1 erl�liy/i✓J/'9 1 E` crLkr/ZScr) e, ,r,<S,A1( ,
Imo'' I STF-T ZIP FAA
1 ,(.JJ/
IP6 y4LC_0 14-14 ? S'37s-- zs3-WY-c) .?YS'
WA STATE CONTRACTOR'S LICENSE C EXPIR<-TION DATE FEDERAL WAY BUSINESS LICENSE
,lir""2- , i.+:r ci7rDC. Ci / 3 / 12o-12--/o4i 2-c c.5 A L
NAME
_` �^ - PRIMARY PRONE
�` /
4.714,042./CI' !V `/ C:,?/fir C �,i-J / Z) 3 -d 7 f- .76 C30
APPLICANTE-MAIL
G pMAILING ADDRESS
3/f t'Yl f✓2J✓71 ---7-77u zicS0-J 61.1 ,l//S,tt C
CITY STATE Zr? FAX
/,J t i.: , WA- 9 8 37J 25".7- S> 'Y-v k2 I'
NAME r / If . PRIMARY PHONE
PROJECT CONTACT f 0/2,1 f t"'iLL1) s O.4 2S 3.-z-.7 ci.-6 Z 6 P
MAiLSNG ADDRESS
The individual to r ecewe and 1 / E-MAIL
respond to all correspondence /� y1 1,, 6 '1 to Li �, fi1
Cs � •J Of
concerning this application) CIT,- 1 STATE ZIP •
FAX
/��d
/,l LC,c1 f I 1444 9 ?7 3— ,?j 5/P-ck--;'52
NAME
PROJECT FINANCING NO I _ OWNER-Ffl ASKED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP
,BCWrI.s-.eee) I PliDNE L
tinder '' .__ _-. _ ..-_ _-. -__----..__. ..._ __ J
--I certify penalty of perjury that I am the property a owner or•authorized agent of the property owner.I certify that to the best "-- "
of my knowledge, the information'submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal taws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federial 2 Way as to any:claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliarce of the city, including its officers and employees, upon the accuracy of the
- information supplied to the city as a part of this appJicatiorz.
S?GNATU1 _ DATE
PRINT NAME: ALL , .. ;_ yr.fL�
Bulletin#100-January 1,2013 Page 1 OI 3. k:\Handouts1Permit Application
.�' a • 0
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how marty of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS j GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(G
COMPRESSORS GAS LOG SETS REFRIGERATIO : ST
DUCTING GAS PIPING WOODS re• S
VALUE OFPLUMBIR'G WORK
PLUMBING PERMIT $
7nVicatehow eadh o ype b�•fixmany - t-- :
ture to be"imstalle: . relocates-t- as parr ojthts protect: Dot-Tat rtoc include exiazng rIztures to remain:—-
_I,- BATHTUBS;or Tub/Shower combo; S LAVS I. ..d s1:,xs( `Z TOILETS WATER PIPING
DISHWASHERS 1'ATER SYSTEMS URINALS- OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS / SINKS((Kitchen/utairs,•) WATER HEATERS(Electric(
HOSE BIBBS SUMPS WASHING MACHINES 73.17 TOTAL FIXTURES
I
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR I SEWER PURVEYOR VALUE OF EXISTING IMP OVEMENTS
No LA) Li2b
$
EXIISSTTINGG!PREVIOUS USE LOT SIZE(In Square F e) EXISTING FIRE SPRIN- SYSTEM? PROPOSED FIRE SUPPRESSIO SYSTEM?
C2e f A1311 i� I D Yes No o Yes No
NEW ESIDENTL4L - OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
d
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT 0
OTHER(describe)
I
(STING 1 S ITOTAL .._._._._....._._.__......._..____.__._.._._.._._...._..._._._...._._.
Area TotalslVX'(O�E0
*NEw HOMES ONLY', -_ -
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL-NEW/1DDITION C
Areat
AREA DESCRIPTION in Square Feet Occu ancy Groups} Copetlon Stories Additional Information
NFW RTTTT.nTNn _ —
ADDITION
\ CI
COMMERCIAL-REMODEL/TENAN I'ROWEMENTS
AREA DESCRIPTION Area Construction # of
in Squa - eet I Occupancy Group(s) Type Stories Additional Information
TOTALBUILDING •
--
TENANT ARE: :`LY
PRO CT AREA ONLY, - - -
Bulletin#100-January 1,2013 Page 2 of 3 k:\IHandouts\Permit Application